Clinical & Forensic Psychological Services of Indiana, P.c.
NPI #1821208000 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1821208000
- Entity Type
- Organization
- Organization Name
- Clinical & Forensic Psychological Services of Indiana, P.c.
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 23, 2007
- Last Updated
- Mar 3, 2008
Practice Location
- Address
- 4630 W JEFFERSON BLVD
- Address 2
- SUITE 5
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6856
- Phone
- (260) 436-4100
Authorized Official
- Name
- DR. STEPHEN GERARD ROSS, PSYD
- Title
- PSYCHOLOGIST
- Phone
- (260) 436-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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